NPI 1013406701

Zachary Kane Polk, MSLMFT

Practitioner Marriage & Family Therapist Saint Louis, MO

Practice location

Address: 5859 S Kingshighway Blvd, Saint Louis, MO 63109-3571
Phone: (314) 669-6242
Mailing address: 4249 Hartford St APT 2, Saint Louis, MO 63116-1905

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 2016036025 (MO)

Other Marriage & Family Therapist providers in Missouri →

Registry record

NPI: 1013406701
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 May 2018
Record last updated: 8 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.